Provider Demographics
NPI:1093855876
Name:SPINAL MONITORING SERVICES, INC
Entity Type:Organization
Organization Name:SPINAL MONITORING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:HALL
Authorized Official - Last Name:SUMMERFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-988-0571
Mailing Address - Street 1:451 WISSAHICKON AVE
Mailing Address - Street 2:
Mailing Address - City:CEDARTOWN
Mailing Address - State:GA
Mailing Address - Zip Code:30125-2553
Mailing Address - Country:US
Mailing Address - Phone:678-988-0571
Mailing Address - Fax:770-748-6211
Practice Address - Street 1:10103 RIDGEGATE PKWY
Practice Address - Street 2:SUITE 306
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5520
Practice Address - Country:US
Practice Address - Phone:303-225-8120
Practice Address - Fax:303-225-8130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONOT REQUIRED247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty